Tara Anne Shaffman, CRNA | |
1000 Blythe Blvd, Anesthesia Services - 5th Fl Surg Tower, Charlotte, NC 28203-5812 | |
(704) 355-2374 | |
Not Available |
Full Name | Tara Anne Shaffman |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 1000 Blythe Blvd, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568614691 | NPI | - | NPPES |
8053648 | Medicaid | NC | |
NAN917 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 186655 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 186655 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Watauga Medical Center | Boone, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Watauga Medical Center Inc | 2668377474 | 69 |
Entity Name | Watauga Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528134194 PECOS PAC ID: 2668377474 Enrollment ID: O20040210000805 |
Entity Name | Carolinas Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619041514 PECOS PAC ID: 4789597477 Enrollment ID: O20040309001252 |
Entity Name | Charles A Cannon Jr Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346302783 PECOS PAC ID: 3274426952 Enrollment ID: O20040809001237 |
Entity Name | Chs Anesthesia Services Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
Mailing Address | Practice Location Address |
---|---|
Tara Anne Shaffman, CRNA Po Box 32861, Anesthesia Svcs - 5th Floor Surgical Tower, Charlotte, NC 28232-2861 Ph: (704) 355-8983 | Tara Anne Shaffman, CRNA 1000 Blythe Blvd, Anesthesia Services - 5th Fl Surg Tower, Charlotte, NC 28203-5812 Ph: (704) 355-2374 |
Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636 | |
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Raven Danielle Lyles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4274 |